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Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

Anoscopy to examine the anal canal

CPT 46600the billing code this page is about

Examination of the anal canal with a short lighted scope, which may include collecting cells by brushing or washing.

Hospitals typically charge $170 cash for this outpatient procedure — the median across 2,129 hospitals that filed a usable cash price; the average of the middle 60% is $193. Most fall between $95 and $360 (20th–80th percentile).

Hospitals
2,129
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 2,129 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$65$110$170$312$552

The most expensive tenth of hospitals charges at least 8.5× what the cheapest tenth charges ($65 vs $552).

How the prices are spread

$45 – $61: 90 hospitals$45$61 – $83: 132 hospitals$83 – $112: 219 hospitals$83$112 – $151: 348 hospitals$151 – $203: 347 hospitals$151$203 – $275: 236 hospitals$275 – $371: 247 hospitals$275$371 – $501: 149 hospitals$501 – $676: 89 hospitals$501$676 – $912: 62 hospitals$676median $170price bands are equal on a log scale
Hospitals per price band (1,919 of 2,129 — the bands cover the 5th to 95th percentile)
FromToHospitals
$45$6190
$61$83132
$83$112219
$112$151348
$151$203347
$203$275236
$275$371247
$371$501149
$501$67689
$676$91262

Against Medicare

Medicare pays (OPPS 2026, national rate)$136
Median cash price$170
Cash as a multiple of Medicare1.25×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $170.

Alaska: median $301 across 15 hospitalsAK$301Maine: median $117 across 22 hospitalsME$117Vermont: median $167 across 12 hospitalsVT$167New Hampshire: median $71 across 16 hospitalsNH$71Washington: median $205 across 70 hospitalsWA$205Idaho: median $243 across 19 hospitalsID$243Montana: median $139 across 21 hospitalsMT$139North Dakota: median $133 across 18 hospitalsND$133Minnesota: median $138 across 92 hospitalsMN$138Illinois: median $209 across 82 hospitalsIL$209Wisconsin: median $160 across 95 hospitalsWI$160Michigan: median $161 across 71 hospitalsMI$161New York: median $153 across 81 hospitalsNY$153Massachusetts: median $248 across 40 hospitalsMA$248Oregon: median $158 across 48 hospitalsOR$158Nevada: median $172 across 16 hospitalsNV$172Wyoming: median $175 across 10 hospitalsWY$175South Dakota: median $298 across 13 hospitalsSD$298Iowa: median $155 across 69 hospitalsIA$155Indiana: median $158 across 43 hospitalsIN$158Ohio: median $202 across 90 hospitalsOH$202Pennsylvania: median $200 across 90 hospitalsPA$200New Jersey: median $172 across 47 hospitalsNJ$172Connecticut: median $192 across 18 hospitalsCT$192Rhode Island: 9 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $312 across 134 hospitalsCA$312Utah: median $442 across 26 hospitalsUT$442Colorado: median $227 across 41 hospitalsCO$227Nebraska: median $208 across 52 hospitalsNE$208Missouri: median $140 across 51 hospitalsMO$140Kentucky: median $146 across 36 hospitalsKY$146West Virginia: median $114 across 25 hospitalsWV$114Virginia: median $162 across 56 hospitalsVA$162Maryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $141 across 19 hospitalsAZ$141New Mexico: median $103 across 18 hospitalsNM$103Kansas: median $135 across 48 hospitalsKS$135Arkansas: median $131 across 12 hospitalsAR$131Tennessee: median $138 across 29 hospitalsTN$138North Carolina: median $138 across 42 hospitalsNC$138South Carolina: median $152 across 38 hospitalsSC$152Oklahoma: median $112 across 32 hospitalsOK$112Louisiana: median $83 across 36 hospitalsLA$83Mississippi: median $90 across 24 hospitalsMS$90Alabama: median $137 across 18 hospitalsAL$137Georgia: median $278 across 58 hospitalsGA$278Hawaii: median $230 across 13 hospitalsHI$230Texas: median $131 across 139 hospitalsTX$131Florida: median $334 across 68 hospitalsFL$334
Cash price by state, most expensive first. National median $170. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT26$442+160%$363 – $466
Florida FL68$334+96%$88 – $626
California CA134$312+84%$142 – $806
Alaska AK15$301+77%$107 – $424
South Dakota SD13$298+76%$153 – $303
Georgia GA58$278+63%$125 – $712
Massachusetts MA40$248+46%$133 – $539
Idaho ID19$243+43%$85 – $360
Hawaii HI13$230+35%$151 – $308
Colorado CO41$227+33%$163 – $328
Illinois IL82$209+23%$128 – $371
Nebraska NE52$208+22%$132 – $268
Washington WA70$205+20%$101 – $344
Ohio OH90$202+19%$114 – $340
Pennsylvania PA90$200+18%$87 – $480
Connecticut CT18$192+13%$132 – $270
Wyoming WY10$175+3%$46 – $224
New Jersey NJ47$172+1%$152 – $4,621
Nevada NV16$172+1%$105 – $455
Vermont VT12$167−2%$124 – $419
Virginia VA56$162−5%$97 – $196
Michigan MI71$161−6%$45 – $331
Wisconsin WI95$160−6%$122 – $334
Indiana IN43$158−7%$113 – $270
Oregon OR48$158−7%$96 – $254
Iowa IA69$155−9%$86 – $254
New York NY81$153−10%$82 – $331
South Carolina SC38$152−11%$126 – $234
Kentucky KY36$146−14%$87 – $246
Arizona AZ19$141−17%$104 – $225
Missouri MO51$140−17%$95 – $228
Montana MT21$139−18%$60 – $183
Tennessee TN29$138−19%$104 – $427
North Carolina NC42$138−19%$70 – $245
Minnesota MN92$138−19%$99 – $282
Alabama AL18$137−19%$66 – $617
Kansas KS48$135−21%$89 – $650
North Dakota ND18$133−22%$80 – $265
Arkansas AR12$131−23%$73 – $305
Texas TX139$131−23%$74 – $359
Maine ME22$117−31%$54 – $167
West Virginia WV25$114−33%$45 – $200
Oklahoma OK32$112−34%$89 – $206
New Mexico NM18$103−39%$54 – $279
Mississippi MS24$90−47%$40 – $273
Louisiana LA36$83−51%$59 – $191
New Hampshire NH16$71−58%$49 – $99
Rhode Island RI9not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $170.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,486$179$102 – $385
Children’s25$169$102 – $328
Critical access611$153$80 – $283
Ownership
For-profit176$217$122 – $626
Government405$163$86 – $300
Non-profit1,541$166$97 – $359
System affiliation
Part of a system1,722$177$100 – $373
Independent407$148$77 – $304

Cash price vs list price

Median list price (chargemaster)$290
Median cash price$170
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,590 hospitals filed a usable inpatient cash price for this code. The median is $179 and the average of the middle 60% is $205; most fall between $101 and $375.

Cash price percentiles, inpatient, across 1,590 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$73$114$179$342$537

The most expensive tenth of hospitals charges at least 7.4× what the cheapest tenth charges ($73 vs $537).

Of the 1,709 hospitals that filed this code inpatient, 1,590 gave a usable cash price; 39 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 80 a list price only.

How complete is this

2,129 of the 3,956 hospitals with a price file in our corpus (54%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,289 hospitals that filed this code at all gave us
Usable cash price — counted2,129
Cash price carrying a plausibility flag — shown on the compare tool, excluded here77
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded80
Hospitals that filed this code2,289

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Sigmoidoscopy, proctoscopy, and anoscopy family.

Hospitals file this code under descriptions such as Anoscopy Dx W/Collj Spec Br/Wa Spx When Prfrmd.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Anoscopy to examine the anal canal (CPT 46600) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46600-anoscopy-to-examine-the-anal-canal